The patient—carer relationship

Fiona Randall and R.S. Downie

in Palliative Care Ethics

Second edition

Published in print June 1999 | ISBN: 9780192630681
Published online November 2011 | e-ISBN: 9780191730078 | DOI:
The patient—carer relationship

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All palliative care is ultimately delivered through the common pathway of the patient–carer relationship. Therefore, the success of such care is dependent on the nature of that relationship, which forms the basis of the practice of health care. This chapter is about the generalities of carer–patient contacts and about what can be learnt and deduced from these generalities that may help people to derive ideas about appropriate attitudes, values, and behaviour in the context of the relationship. The nature of the carer–patient relationship is determined by its aims: the intrinsic aim is the relief of suffering due to physical or mental illness; and extrinsic aims are relief of psychological, social, and spiritual distress. The chapter also examines three senses of the concept of consent. That of shared decision making, where both parties give permission, is the most satisfactory.

Keywords: carer–patient encounter; carer–patient relationship; consent; palliative care; health care; shared decision making

Chapter.  8420 words. 

Subjects: Palliative Medicine

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